Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Magnolia Mobile Medical, PLLC

Organization Family Nurse Practitioner · NPI 1295572451

Magnolia Mobile Medical, PLLC provides Family Nurse Practitioner services in Evergreen, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6475 Princess Ann Rd
Evergreen, NC 28438-9519
Phone: (910) 770-3628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1295572451
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Nance — Owner · (910) 770-3628
NPI enumeratedJuly 13, 2024
Last updated in NPPESJuly 13, 2024
Certification dateJuly 13, 2024
Mailing address6475 Princess Ann Rd, Evergreen, NC 28438-9519

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